Organization
MONARCH DERMATOLOGY & SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMMON LARSEN MD (OWNER)
(717) 480-2132
Entity
Organization
Contact information
Practice address
3451 MOUNTAIN LION DR, LOVELAND, CO 80537-8817
(717) 480-2132
Mailing address
PO BOX 731, LOVELAND, CO 80539-0731
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Enumeration date
01/30/2020
Last updated
11/11/2022
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